ࡱ > 5 7 4 g bjbjVV 4( r< r< 4 4 4 4 $ X $ 4 ( . | | | | | W W W $ V W W W W W | | W " | | W | Yom y 0 ( K W W W W W W W W W W ( W W W W W W W W W W W W W : UNIVERSITY OF ILLINOIS DRES TRANSPORTATION STUDENT RIDE REQUEST FORM STUDENT NAME:_________________________ EMAIL: ____________________________ (please fill out all information) CAMPUS ADDRESS:__________________________________________________________________ (please fill out all information) CELL PHONE:_____________________________ SEMESTER: ___________________________ (please fill out all information) STANDING RIDES REQUESTED TO CLASS AND FROM CLASS: Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ The rides that are requested on this form are ONLY a request. All students must make an appointment with the DRES Transportation Department within 24 hours of filling out this form to insure proper arrangements are made, such as pick-up points and times etc. The DRES transportation phone number is (217) 333-4616 and is located at 1207 S. Oak St. Champaign, IL 61820 Room 152. Please call if you need to cancel any transportation services at any time. UNIVERSITY OF ILLINOIS DRES TRANSPORTATION STUDENT RIDE REQUEST FORM Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ Day of Week:___________________ TIME:______________ Pick up from:______________________ Drop off To:______________________________ The rides that are requested on this form are ONLY a request. All students must make an appointment with the DRES Transportation Department within 24 hours of filling out this form to insure proper arrangements are made, such as pick-up points and times etc. The DRES transportation phone number is (217) 333-4616 and is located at 1207 S. Oak St. Champaign, IL 61820 Room 152. Please call if you need to cancel any transportation services at any time. UNIVERSITY OF ILLINOIS DRES TRANSPORTATION STUDENT RIDE REQUEST FORM + 3 ? E F p u w 1 2 | } ~ " * J K L V W b c Խǽ¸ԽԽ½ h" 5hg 5>* h% hg 5h 5>* hn 5>* hn hn 5>* h